CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 16:08 UTC
Screener / 676349
D

ACCEL AT WILLOW BEND

snfTX
2620 COMMUNICATIONS PARKWAY, PLANO, TX 75093 · CCN 676349 · chain SOUTH LIMESTONE HOSPITAL DISTRICT
Composite
87.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
110
Model
v1.2
Reads as: riskier than 87.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct94.865.20.300.171416.25in index
state reg risk63.715.00.300.171410.92in index
staffing risk73.373.30.250.142910.47in index
financial risk57.450.40.300.17149.84in index
regulatory risk57.247.50.300.17149.81in index
lease risk63.656.60.150.08575.45in index
chow risk23.929.00.150.08572.05in index
ownership opacity32.752.1excluded
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

25
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+37.6 vs natlPRESERVATION FREEHOLD COMPANY24 facilities
connectionOwner fleet risk far above national+37.6 vs natlSANCTUARY LTC LLC24 facilities
connectionOwner fleet risk far above national+36.8 vs natlFISHER JAMES24 facilities
connectionOwner fleet risk far above national+36.8 vs natlMCGEHEE WILLIAM24 facilities
connectionOwner fleet risk far above national+36.8 vs natlSTONEGATE SENIOR LIVING LP24 facilities
connectionOwner fleet risk far above national+36.8 vs natlCAMPBELL SCOTT24 facilities
connectionOwner fleet risk far above national+36.8 vs natlCHANCE JAMES24 facilities
connectionOwner fleet risk far above national+36.8 vs natlLANGDON THOMAS24 facilities
connectionOwner fleet risk far above national+36.3 vs natlLIFETIME WELLNESS LTD 23 facilities
connectionOwner fleet risk far above national+36.3 vs natlREHAB PRO LP23 facilities
connectionOwner fleet risk far above national+36.3 vs natlMARTUS FINANCIAL SERVICES INC 23 facilities
connectionOwner fleet risk far above national+32.6 vs natlTAYLOR JOHN28 facilities
connectionOwner fleet risk far above national+24.8 vs natlUMB BANK NATIONAL ASSOCIATION31 facilities
connectionOwner fleet risk far above national+22.3 vs natlPRICE LARRY26 facilities
connectionOwner spans multiple chains10 chainsUMB BANK NATIONAL ASSOCIATION30 facilities
connectionOwner spans multiple chains9 chainsPHARMERICA DRUG SYSTEMS LLC32 facilities
connectionOwner spans multiple chains6 chainsTAYLOR JOHN26 facilities
connectionOwner spans multiple chains5 chainsSANCTUARY LTC LLC24 facilities
connectionOwner spans multiple chains5 chainsPRESERVATION FREEHOLD COMPANY24 facilities
connectionOwner spans multiple chains5 chainsMARTUS FINANCIAL SERVICES INC 23 facilities
connectionOwner spans multiple chains5 chainsMCGEHEE WILLIAM24 facilities
connectionOwner spans multiple chains5 chainsLIFETIME WELLNESS LTD 23 facilities
connectionOwner spans multiple chains5 chainsLANGDON THOMAS24 facilities
connectionOwner spans multiple chains5 chainsSTONEGATE SENIOR LIVING LP24 facilities
connectionOwner spans multiple chains5 chainsCHANCE JAMES24 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

20
Score typeScoreGradeModelStatusRegistry model notes
billing conduct65.2Dv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk32.9Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk29.1Bv0.6default · in composite
financial risk50.4Cv0.5default · in compositeR18.
lease risk56.6Cv0.5default · in composite
ownership opacity52.1Cv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m11.6v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk47.5Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk73.3Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk15.0Av0.5default · in composite
financial risk72.2Dv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk52.2Cv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk52.5Cv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk54.2Cv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk47.5Cv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk47.5Cv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk73.3Dv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk73.3Dv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
11.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
98.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Occupancy0.57+0.36
Chain size (log)3.30+0.30
Deficiencies, last 12 months18.00+0.27
Ownership changes, last 5 years0.00+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months18.00-1.91
Occupancy0.57+0.74
Chain size (log)3.30-0.72
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Total nurse staffing (HPRD)2.92+0.12
Never sold on record1.00+0.12
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.922.673.282.90–3.77
RN0.260.240.390.25–0.58
Weekend total2.672.563.11
Weekday total3.022.723.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49262.92.920.261.041.622.672.4%
2025Q39270.62.940.231.021.692.640.0%
2025Q29175.72.780.300.821.662.490.0%
2025Q19080.32.620.170.771.682.350.0%
2024Q49270.23.020.121.091.802.800.0%
2024Q39273.92.890.261.081.552.691.2%
2024Q29173.72.780.231.071.472.611.5%
2024Q19178.83.300.481.181.642.872.7%
2023Q49280.02.950.371.151.442.800.0%
2023Q39277.23.190.411.201.572.950.0%
2023Q29180.23.440.421.271.753.199.8%
2023Q19078.63.250.491.231.523.014.1%
2022Q49273.52.990.510.951.522.860.1%
2022Q39276.33.010.640.781.593.230.1%
2022Q29182.53.030.710.801.523.140.1%
2022Q19087.02.780.480.801.502.850.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

44
D × 21E × 17F × 1H × 3K × 2
deficiencies by survey year
16823242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-03Health · complaintF0880Provide and implement an infection prevention and control program.E2026-02-05
2026-01-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-01-15
2026-01-07Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2026-01-15
2025-08-21HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-08-29
2025-08-21Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE2025-08-29
2025-08-21Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-08-29
2025-08-21Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2025-08-29
2025-08-21Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-08-29
2025-08-21Health · complaintF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-08-29
2025-08-21Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-08-29
2025-08-21Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2025-08-29
2025-08-21HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-08-29
2025-08-21HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-08-29
2025-08-21Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-08-29
2025-08-21Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2025-08-29
2025-08-21Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-08-29
2025-08-21Health · complaintF0880Provide and implement an infection prevention and control program.D2025-08-29
2025-08-21Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2025-08-29
2025-03-13Health · complaintF0880Provide and implement an infection prevention and control program.F2025-04-18
2024-07-24Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2024-09-05
2024-07-24Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-09-05
2024-07-24Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-09-05
2024-07-24Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2024-09-05
2024-07-24Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-09-05
2024-07-24Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-09-05
2024-07-24Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-09-05
2024-07-24Health · complaintF0880Provide and implement an infection prevention and control program.E2024-09-05
2024-01-09Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.H2024-01-09
2024-01-09Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.H2024-02-12
2024-01-09Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-02-12
2024-01-09Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.H2024-02-12
2024-01-09Health · complaintF0880Provide and implement an infection prevention and control program.E2024-02-12
2023-12-28Health · complaintF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.D2024-01-22
2023-12-05Health · complaintF0583Keep residents' personal and medical records private and confidential.D2023-12-20
2023-12-05Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2023-12-21
2023-05-20HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2023-06-09
2023-05-20HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2023-06-09
2023-05-20HealthF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D2023-06-09
2023-05-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-06-09
2023-05-20HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-06-09
2023-05-20HealthF0692Provide enough food/fluids to maintain a resident's health.K2023-06-09
2023-05-20HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.K2023-06-09
2023-05-20HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-06-09
2023-05-20HealthF0880Provide and implement an infection prevention and control program.D2023-06-09
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

29
OwnerRolePctFromStatusSource
SOUTH LIMESTONE HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-02-27currentpecos_ownership
CAMPBELL, SCOTTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-01currentpecos_ownership
CHANCE, JAMESINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-11-25currentpecos_ownership
DEO, NARINDERADP OF THE SNF2025-12-18currentpecos_ownership
FISHER, JAMESINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-04currentpecos_ownership
LANGDON, THOMASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-11-25currentpecos_ownership
LIFETIME WELLNESS, LTD.ADP OF THE SNF2021-09-23currentpecos_ownership
MADUKA, ALEXANDRIAADP OF THE SNF2026-01-13currentpecos_ownership
MARTUS FINANCIAL SERVICES, INC.ADP OF THE SNF2023-12-31currentpecos_ownership
MCGEHEE, WILLIAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-11-25currentpecos_ownership
PF PLANO SNF OPS, LLCOPERATIONAL/MANAGERIAL CONTROL2021-09-23currentpecos_ownership
PF PLANO SNF OPS, LLCADP OF THE SNF2025-11-25currentpecos_ownership
PF PLANO SNF OPS, LLC2025-02-27currenttx_hhsc_directory
PHARMERICA DRUG SYSTEMS LLCADP OF THE SNF2017-08-27currentpecos_ownership
PRESERVATION FREEHOLD COMPANYADP OF THE SNF2021-09-23currentpecos_ownership
PRICE, LARRYCORPORATE OFFICERcurrentpecos_ownership
REHAB PRO LPADP OF THE SNF2021-09-23currentpecos_ownership
SANCTUARY LTC, LLCADP OF THE SNF2021-09-23currentpecos_ownership
SHARIF, ZAINADP OF THE SNF2025-05-14currentpecos_ownership
SOUTH LIMESTONE HOSPITAL DISTRICT2025-02-27currenttx_hhsc_directory
STONEGATE SENIOR LIVING, LPOPERATIONAL/MANAGERIAL CONTROL2022-06-22currentpecos_ownership
STONEGATE SENIOR LIVING, LPADP OF THE SNF2025-11-25currentpecos_ownership
TAYLOR, JOHNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-01currentpecos_ownership
UMB BANK NATIONAL ASSOCIATION5% OR GREATER MORTGAGE INTEREST2021-09-23currentpecos_ownership
UMB BANK NA5% OR GREATER MORTGAGE INTEREST100%2021-09-23ended 2026-05-18pecos_ownership
LARRY PRICECORPORATE OFFICER0%ended 2026-05-18pecos_ownership
ALEXANDRIA MADUKAADP OF THE SNF2026-01-13ended 2026-05-18pecos_ownership
NARINDER DEOADP OF THE SNF2025-12-18ended 2026-05-18pecos_ownership
ZAIN SHARIFADP OF THE SNF2025-05-14ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows120NOCONA HOSPITAL DISTRICT
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
GeoKindBRAmountAs ofSource
county 48085acs median gross0$1,5942024-12-31CENSUS_ACS5
county 48085fmr0$1,5822025-10-01HUD_USER_FMR
county 48085acs median gross1$1,5442024-12-31CENSUS_ACS5
county 48085fmr1$1,6482025-10-01HUD_USER_FMR
county 48085acs median gross2$1,9632024-12-31CENSUS_ACS5
county 48085fmr2$1,9312025-10-01HUD_USER_FMR
county 48085acs median gross3$2,3372024-12-31CENSUS_ACS5
county 48085fmr3$2,4312025-10-01HUD_USER_FMR
county 48085acs median gross4$2,8292024-12-31CENSUS_ACS5
county 48085fmr4$3,0912025-10-01HUD_USER_FMR
county 48085acs median gross5$2,8102024-12-31CENSUS_ACS5
county 48085acs median gross$1,8592024-12-31CENSUS_ACS5
county 48085acs recent mover gross$1,9372024-12-31CENSUS_ACS5
zcta 75093acs median gross0$1,6822024-12-31CENSUS_ACS5
zcta 75093acs median gross1$1,5802024-12-31CENSUS_ACS5
zcta 75093acs median gross2$2,0892024-12-31CENSUS_ACS5
zcta 75093acs median gross3$2,7072024-12-31CENSUS_ACS5
zcta 75093acs median gross4$3,3742024-12-31CENSUS_ACS5
zcta 75093acs median gross5$1,7602024-12-31CENSUS_ACS5
zcta 75093acs median gross$1,8142024-12-31CENSUS_ACS5
zcta 75093acs recent mover gross$1,9212024-12-31CENSUS_ACS5
zip 75093payment standard 1100$2,2332025-10-01HUD_USER_SAFMR
zip 75093payment standard 900$1,8272025-10-01HUD_USER_SAFMR
zip 75093safmr0$2,0302025-10-01HUD_USER_SAFMR
zip 75093payment standard 1101$2,3322025-10-01HUD_USER_SAFMR
zip 75093payment standard 901$1,9082025-10-01HUD_USER_SAFMR
zip 75093safmr1$2,1202025-10-01HUD_USER_SAFMR
zip 75093payment standard 1102$2,7282025-10-01HUD_USER_SAFMR
zip 75093payment standard 902$2,2322025-10-01HUD_USER_SAFMR
zip 75093safmr2$2,4802025-10-01HUD_USER_SAFMR
zip 75093payment standard 1103$3,4322025-10-01HUD_USER_SAFMR
zip 75093payment standard 903$2,8082025-10-01HUD_USER_SAFMR
zip 75093safmr3$3,1202025-10-01HUD_USER_SAFMR
zip 75093payment standard 1104$4,3672025-10-01HUD_USER_SAFMR
zip 75093payment standard 904$3,5732025-10-01HUD_USER_SAFMR
zip 75093safmr4$3,9702025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.